Beal Photography
MO=
DEL
RELEASE FORM
&=
nbsp; I,
the undersigned, do hereby agree to release of all photography taken of me =
by Beal
Photography in any and all reasonable media, including photo printing,
portfolios, composite cards, contests, advertising, promotion, and shall not
sell or have for sale to a third party without written consent from Beal Photography, and that Beal
Photography shall be compensated for said sale.
&nbs=
p; I
further agree that Beal Photography shall retain the right to attach "=
Beal
Photography" on any and all photography taken of me. I further agree that Beal Photogra=
phy
shall have the right to cancel this "Limited Copyright Release"
if I should violate any section of this
agreement.
&nbs=
p; I
further agree that Beal Photography shall remain "harmless" or fr=
ee
of liability suit when photography of me are taken, used, misrepresented or
stolen by another not associated with Beal Photography and any or all of th=
eir
assigned agents
&nbs=
p; I,
the undersigned, do hereby declare that I am at least 18 years of age, or am
represented by a parent and or legal guardian and that I and or they have read and unders=
tand
the foregoing statement and I am and or they are competent to execute this
release.
&nbs=
p; I,
the undersigned agree that Beal Photography shall hold the copyrights to all
photography taken of me.
NAME: &n=
bsp; =
; &n=
bsp; =
; &n=
bsp; =
; ID
CHECK:
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p; _____=
____________________________
________________
&nbs=
p; &=
nbsp; SIGNATUR=
E =
=
&=
nbsp; DATE
PARENT/GUARDIAN:
NAME: &n=
bsp; =
; &n=
bsp; =
; &n=
bsp; =
; ID
CHECK:
&nbs=
p; _____=
____________________________
________________
&nb=
sp;
=
&=
nbsp; SIGNATURE &=
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p; &=
nbsp; &nbs=
p; DATE
____________________________________=
______________________________________________
&nbs=
p; I,
the undersigned, do hereby consent and agree that the above signed has the
right to use photographs taken by Beal Photography in any and all reasonable
media, including photo printing, portfolios, composite cards, contests,
advertising, or promotion of goals and or careers, and shall not sell or ha=
ve
for sale to a third party without written consent from above named model, and that the abo=
ve
named model will be compensated for said sale.
&nbs=
p; I
further agree to make available all edited photography only, taken of above named model, within a reasonable time, and that I
shall make available to the above named model all edited photography only, =
on CD within a reasonable time.
&nbs=
p;
&nbs=
p; I
also understand that the agreement releases any print services from potenti=
al
copyright infringements provided above signed appropriately identifies/gives
credit to the above named photographer where applicable.
&nbs=
p; I
represent that I am at least 18 years of age, have read and understood the
foregoing statement and an competent to execute this release.
Photographer's Name: James F. Beal Sr. &=
nbsp; &nbs=
p;
&nbs=
p; &=
nbsp; &nbs=
p; ___________=
__________________ =
______________
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nbsp; &nbs=
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nbsp; SIGNATURE &=
nbsp; &nbs=
p; &=
nbsp; DATE
Photographer's Business Name: Beal Photography
Photographer's Phone Number: (207) 451-7690/(207) 451-7691 Beal Photography's Model
Mayhem Site
Beal Photography
PHYSICAL SURVEY
&nbs=
p; It
is not the intent of Beal Photography to cause, inflict, or promote any per=
son
or persons modeling for Beal Photography any stress and or injury before,
during or after any photography session held by Beal Photography whether in=
the
studio or on a location photography session.
&nbs=
p; You
are required to read the below statement(s) and acknowledge your understand=
ing.
Physical Survey Statement
&nbs=
p; You
will be modeling for Beal Photography.&nbs=
p;
During the shoot you will be positioned in different poses to include
kneeling, bending, laying prone, and staying in a pose for extended periods=
of
time. Thou Beal Photography d=
oes
have a need to know the Physical Condition, it is important that Beal Photogra=
phy be
made aware if there is any physical condition that does exist that will cau=
se
undo injury to you as the model.
&nb=
sp; You
must advise Beal Photography personnel, staff, and or any person or persons
associated with Beal Photography by the most immediate means if you receive=
any
injury before, during or after any photography session to include being in =
and
or around the premises of Beal Photography Studio.
&nbs=
p; Beal
Photography shall be held "harmless" or Free of Liability Suit for
any pre-existing condition(s) that you as a model may have, further shall be
held "harmless" or Free of Liability Suit for any pre-existing
condition that Beal Photography personnel, staff, and or any person or pers=
ons
associated with Beal Photography is not made aware of.
Acknowledgement
&nbs=
p; I
have read and understand the terms and conditions set in the Beal Photograp=
hy's
Physical Survey Statement. I
certify by my signature, that I am at least 18 yrs old and I do understand =
and accept
the terms and conditions set in the Beal Photography's Physical Survey
Statement.
Printed Name:
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p; &=
nbsp; _____________ &=
nbsp; _________________________________________
&nbs=
p; &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; &=
nbsp; &nbs=
p; Signature =
=
=
&nb=
sp; Date